Can You Get Pregnant If You Have Unprotected Sex on Day 4 of Your Period? - Obstetrics and Gynecology

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Can I get pregnant?


Hello, doctor.
I would like to ask if there is a chance of pregnancy if I have unprotected intercourse on the fourth day of my period when there is only a little blood left.
Thank you, doctor.

A Feng, 30~39 year old female. Ask Date: 2020/06/16

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the chances of pregnancy should be low.
Wishing you good health.

Reply Date: 2020/06/16

More Info


The question of whether one can get pregnant from unprotected sex on the fourth day of their menstrual period is a nuanced one, influenced by several factors including the timing of ovulation, the lifespan of sperm, and individual menstrual cycle variations.

To begin with, it's important to understand the typical menstrual cycle. A standard cycle lasts about 28 days, but it can vary significantly from person to person, ranging from 21 to 35 days or even longer. Ovulation, which is when an egg is released from the ovary, typically occurs around 14 days before the start of the next period. For someone with a 28-day cycle, this would mean ovulation occurs around day 14. However, cycles can be irregular, and ovulation can happen earlier or later than expected.

Sperm can live inside the female reproductive tract for up to five days, which means that if you have unprotected sex during your period, there is a possibility that sperm could still be viable when ovulation occurs. If you have a shorter cycle, say 21 days, ovulation could occur as early as day 7 of your cycle. In this case, having unprotected sex on day 4 of your period could potentially lead to pregnancy if ovulation occurs shortly thereafter.

In your specific situation, having unprotected sex on day 4 of your period, when menstrual bleeding is still present, does carry a risk of pregnancy, albeit a lower one compared to other times in the cycle. The likelihood of pregnancy is generally considered to be lower during menstruation, but it is not impossible. If you have irregular cycles or if your cycle is shorter than average, the risk increases.

If you are concerned about the possibility of pregnancy, it is advisable to take a pregnancy test if your next period is late. Home pregnancy tests are generally reliable and can detect pregnancy about a week after a missed period. If you are looking for more immediate answers, a blood test at a healthcare provider can confirm pregnancy earlier.

In terms of contraceptive methods, if you are sexually active and wish to avoid pregnancy, it is essential to consider using reliable contraception. There are various options available, including hormonal birth control, condoms, and long-acting reversible contraceptives (LARCs) like IUDs. Each method has its own effectiveness and suitability based on individual health needs and lifestyle.

In conclusion, while the chances of getting pregnant from unprotected sex on day 4 of your period are relatively low, they are not zero, especially if you have a shorter or irregular cycle. If you have further concerns or questions about your menstrual cycle, ovulation, or contraception, it is best to consult with a healthcare provider who can provide personalized advice based on your health history and circumstances.

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Dr. Chen Nengjin reply Obstetrics and Gynecology
The likelihood of becoming pregnant from intercourse on the fourth day of menstruation is extremely low. However, a greater concern is whether the menstrual blood has been completely expelled, as engaging in intercourse at this time may increase the risk of infection.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of pregnancy should be low. Wishing you good health.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, the chances of pregnancy should be low. Wishing you good health.

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Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, you should not be pregnant. Wishing you good health.

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